Megamar, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

072669-RC Issued in MN

Legal business name

MEGAMAR, INC.

Doing business as

Tri State Lift

Practice address

10048 SW 37TH Ave
Ellendale, MN 56026-2017

Phone

(507) 455-3553

Fax

(507) 455-3053

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Carolyn Susan Zvorak

Title

President

Phone

(507) 455-3553

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tri State Lift Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1912185067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10048 SW 37TH AVE",
            "city": "ELLENDALE",
            "state": "MN",
            "postal_code": "560262017",
            "telephone_number": "507-455-3553",
            "fax_number": "507-455-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10048 SW 37TH AVE",
            "city": "ELLENDALE",
            "state": "MN",
            "postal_code": "560262017",
            "telephone_number": "507-455-3553",
            "fax_number": "507-455-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAMAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "ZVORAK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-455-3553",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": "072669-RC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "965125000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri State Lift",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Ellendale, MN
• Providers in Ellendale, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.